Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $11.36 / $26.48 / $36.94	Facility		$11.36	$26.48	$36.94
Aetna Facility/Professional Professional Modifier Low / Median / High Price $11.03 / $14.28 / $48.60	Professional		$11.03	$14.28	$48.60
Aetna Facility/Professional Professional Modifier 25 Low / Median / High Price $22.43 / $41.01 / $62.08	Professional	25	$22.43	$41.01	$62.08
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $12.78 / $20.93 / $39.13	Professional		$12.78	$20.93	$39.13
CareSource Facility/Professional Facility Modifier Low / Median / High Price $11.08 / $13.99 / $16.70	Facility		$11.08	$13.99	$16.70
CareSource Facility/Professional Professional Modifier Low / Median / High Price $13.18 / $15.78 / $22.13	Professional		$13.18	$15.78	$22.13
Cigna Facility/Professional Facility Modifier Low / Median / High Price $38.75 / $45.28 / $60.18	Facility		$38.75	$45.28	$60.18
Cigna Facility/Professional Professional Modifier Low / Median / High Price $12.92 / $28.84 / $41.24	Professional		$12.92	$28.84	$41.24
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $10.76 / $14.28 / $28.47	Facility		$10.76	$14.28	$28.47
Medica Facility/Professional Facility Modifier Low / Median / High Price $10.76 / $14.28 / $28.47	Facility		$10.76	$14.28	$28.47
Medica Facility/Professional Professional Modifier Low / Median / High Price $14.72 / $23.90 / $199.96	Professional		$14.72	$23.90	$199.96
Medica Facility/Professional Professional Modifier 25 Low / Median / High Price $32.11 / $32.11 / $118.40	Professional	25	$32.11	$32.11	$118.40
Molina Facility/Professional Professional Modifier Low / Median / High Price $18.35 / $40.38 / $70.00	Professional		$18.35	$40.38	$70.00
Prevea360 Facility/Professional Facility Modifier Low / Median / High Price $10.76 / $14.28 / $28.47	Facility		$10.76	$14.28	$28.47
Quartz Facility/Professional Professional Modifier Low / Median / High Price $20.32 / $33.11 / $43.16	Professional		$20.32	$33.11	$43.16
Quartz Facility/Professional Facility Modifier Low / Median / High Price $15.71 / $22.16 / $80.00	Facility		$15.71	$22.16	$80.00
Quartz Facility/Professional Professional Modifier Low / Median / High Price $15.16 / $59.90 / $199.96	Professional		$15.16	$59.90	$199.96
Security Health Facility/Professional Professional Modifier Low / Median / High Price $14.28 / $40.81 / $51.37	Professional		$14.28	$40.81	$51.37
United Facility/Professional Professional Modifier Low / Median / High Price $14.56 / $23.53 / $39.78	Professional		$14.56	$23.53	$39.78